Gut Liver.
2023 Jan;17(1):34-48. 10.5009/gnl220108.
Revised Clinical Practice Guidelines of the Korean Pancreatobiliary Association for Acute Pancreatitis
- Lee SH
1 - Choe JW2
- Cheon YK3
- Choi M4
- Jung MK5
- Jang DK6
- Jo JH7
- Lee JM8
- Kim EJ9
- Han SY10
- Choi YH11
- Seo HI12
- Lee DH13
- Lee HS14
- Affiliations
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- 1Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
- 2Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
- 3Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
- 4Division of Health Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency, Seoul, Korea.
- 5Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
- 6Department of Internal Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
- 7Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- 8Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Changwon, Korea.
- 9Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
- 10Department of Internal Medicine, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
- 11Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 12Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
- 13Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
- 14Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
- KMID: 2538155
- DOI: http://doi.org/10.5009/gnl220108
Abstract
- Acute pancreatitis can range from a mild, self-limiting disease requiring no more than supportive care, to severe disease with life-threatening complications. With the goal of providing a recommendation framework for clinicians to manage acute pancreatitis, and to contribute to improvements in national health care, the Korean Pancreatobiliary Association (KPBA) established the Korean guidelines for acute pancreatitis management in 2013. However, many challenging issues exist which often lead to differences in clinical practices. In addition, with newly obtained evidence regarding acute pancreatitis, there have been great changes in recent knowledge and information regarding this disorder. Therefore, the KPBA committee underwent an extensive revision of the guidelines. The revised guidelines were developed using the Delphi method, and the main topics of the guidelines include the following: diagnosis, severity assessment, initial treatment, nutritional support, convalescent treatment, and the treatment of local complications and necrotizing pancreatitis. Specific recommendations are presented, along with the evidence levels and recommendation grades.
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